Physician
Wvva Health Care Alliance PC
Wvva Health Care Alliance PC was paid $3.33M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoWVVA HEALTH CARE ALLIANCE PC
WHITE SULPHUR SPRINGS, WV 24986
WHITE SULPHUR SPRINGS, WV 24986
33aNPI1255371993assigned 06/08/2006
33bProvider typeFamily Medicine Physician
28Total paid$3.33M
24GClaims103,831
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in West Virginia
Rank by total paid#15 of 202
Median peer was paid$172K
This provider vs. median19×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 21,479 | $635K | |
| 2019 | 19,470 | $617K | |
| 2020 | 17,272 | $639K | |
| 2021 | 14,408 | $553K | |
| 2022 | 15,651 | $581K | |
| 2023 | 8,990 | $192K | |
| 2024incomplete | 6,561 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 29,000 | 23,170 | $1.20M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 36% | 19,793 | 17,117 | $1.20M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 1,941 | 1,854 | $145K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 1,976 | 1,479 | $118K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 1,367 | 1,298 | $102K |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 3,050 | 2,625 | $48K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 3,276 | 3,050 | $40K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.2% | 339 | 316 | $40K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 465 | 449 | $38K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 2,535 | 2,327 | $35K |
| 90670 | <1% | 1,202 | 1,044 | $22K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 988 | 953 | $21K |
78 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,095 | $19K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,854 | $18K |
| 87428 | <1% | 373 | $17K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,149 | $17K |
| 99188 | <1% | 755 | $15K | |
| 20610 | <1% | 737 | $13K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 236 | $12K |
| 81025 | <1% | 352 | $11K | |
| 90686 | <1% | 1,187 | $11K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 511 | $10K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 942 | $9K |
| 3074F | <1% | 2,391 | $9K | |
| 90723 | <1% | 701 | $9K | |
| 3078F | <1% | 2,522 | $9K | |
| 83655 | <1% | 866 | $8K | |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 239 | $7K |
| 3008F | <1% | 4,414 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 223 | $7K |
| 90651 | <1% | 203 | $7K | |
| 90647 | <1% | 654 | $7K | |
| 92587 | <1% | 548 | $7K | |
| 90633 | <1% | 572 | $7K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 39 | $5K |
| 3079F | <1% | 1,365 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 204 | $5K |
| 90674 | <1% | 291 | $4K | |
| 85027 | <1% | 134 | $4K | |
| 99000 | <1% | 1,316 | $4K | |
| 90734 | <1% | 193 | $4K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 126 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 112 | $3K |
| 3075F | <1% | 952 | $3K | |
| 94060 | <1% | 251 | $3K | |
| 99173 | <1% | 1,349 | $3K | |
| 3077F | <1% | 975 | $3K | |
| 85018 | <1% | 1,157 | $3K | |
| 90710 | <1% | 105 | $3K | |
| 90681 | <1% | 157 | $2K | |
| 90656 | <1% | 53 | $2K | |
| 94726 | <1% | 183 | $2K | |
| 94729 | <1% | 185 | $2K | |
| 90696 | <1% | 127 | $2K | |
| 90621 | <1% | 52 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 40 | $1K |
| Q3014 | Telehealth originating site facility fee | <1% | 65 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 14 | $1K |
| 87807 | <1% | 93 | $1K | |
| 90715 | <1% | 91 | $1K | |
| 99307 | <1% | 111 | $922.20 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 17 | $855.92 |
| 90961 | <1% | 37 | $821.39 | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 19 | $773.80 |
| 90716 | <1% | 43 | $735.65 | |
| 90756 | <1% | 111 | $697.94 | |
| 90688 | <1% | 134 | $620.19 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 18 | $549.24 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 17 | $521.05 |
| 3080F | <1% | 258 | $490.15 | |
| 90707 | <1% | 26 | $448.66 | |
| 99441 | <1% | 33 | $414.54 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 12 | $373.08 |
| 92551 | <1% | 39 | $363.20 | |
| 36416 | <1% | 22 | $210.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $206.56 |
| 90700 | <1% | 18 | $182.90 | |
| 90698 | <1% | 19 | $140.49 | |
| 90680 | <1% | 18 | $140.49 | |
| 81002 | <1% | 38 | $107.85 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $100.78 |
| G0008 | Administration of influenza virus vaccine | <1% | 73 | $93.76 |
| 90744 | <1% | 15 | $68.53 | |
| 86308 | <1% | 12 | $68.19 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | <1% | 17 | $61.57 |
| 4004F | 0% | 137 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 235 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 194 | $0.00 |
| 91300 | 0% | 35 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDRUMMOND, ROBIN (VP RCM)
| Provider | Location | Paid |
|---|---|---|
| Alliance Xpress Care LLC | Covington, VA | $4.97M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.